Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
- Peter Lynch
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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b)
(Amendment No. 1)*
| Blue Apron Holdings, Inc. |
| (Name of Issuer) |
| Class A Common Stock, $0.0001 par value |
| (Title of Class of Securities) |
| 09523Q101 |
| (CUSIP Number) |
| December 31, 2018 |
| (Date of Event Which Requires Filing of this Statement) |
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| ¨ | Rule 13d-1(b) |
| ¨ | Rule 13d-1(c) |
| x | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
(Continued on following pages)
Page 1 of 11 Pages
Exhibit Index Contained on Page 9
| CUSIP NO. 09523Q101 | 13 G | Page 2 of 11 |
| 1 |
NAME OF REPORTING First Round Capital IV, L.P. (“FRC IV”) | |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨ (b) x |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER 0 shares. |
| 6 | SHARED VOTING POWER See response to row 5. | |
| 7 | SOLE DISPOSITIVE POWER 0 shares. | |
| 8 | SHARED DISPOSITIVE POWER See response to row 7. |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH |
0 |
| 10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) |
¨ |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
| 12 | TYPE OF REPORTING PERSON* | PN |
| CUSIP NO. 09523Q101 | 13 G | Page 3 of 11 |
| 1 |
NAME OF REPORTING First Round Capital IV Partners Fund, L.P. (“FRC IV PF”) | |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨ (b) x |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER 0 shares. |
| 6 | SHARED VOTING POWER See response to row 5. | |
| 7 | SOLE DISPOSITIVE POWER 0 shares. | |
| 8 | SHARED DISPOSITIVE POWER See response to row 7. |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH |
0 |
| 10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) |
¨ |
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | 0.0% |
| 12 | TYPE OF REPORTING PERSON* | PN |
| CUSIP NO. 09523Q101 | 13 G | Page 4 of 11 |
| 1 |
NAME OF REPORTING First Round Capital Management IV, L.P. (“DGP”) | |
| 2 |
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨ (b) x |
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER 0 shares. |
| 6 | SHARED VOTING POWER See response to row 5. | |
| 7 | SOLE DISPOSITIVE POWER 0 shares. | |
| 8 | SHARED DISPOSITIVE POWER See response to row 7. |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH |
0 |
| 10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) |
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
0.0% |
| 12 |
TYPE OF REPORTING PERSON* |
PN |
| CUSIP NO. 09523Q101 | 13 G | Page 5 of 11 |
| 1 |
NAME OF REPORTING First Round Capital Management IV, LLC (“UGP”) | |
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
|
(a) ¨ (b) x |
| 3 | SEC USE ONLY | |
| 4 |
CITIZENSHIP OR PLACE OF ORGANIZATION Delaware | |
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH |
5 | SOLE VOTING POWER 0 shares. |
| 6 | SHARED VOTING POWER See response to row 5. | |
| 7 | SOLE DISPOSITIVE POWER 0 shares. | |
| 8 | SHARED DISPOSITIVE POWER See response to row 7. |
| 9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH |
0 |
| 10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) |
¨ |
| 11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
0.0% |
| 12 |
TYPE OF REPORTI NG PERSON* |
OO |
| CUSIP NO. 09523Q101 | 13 G | Page 6 of 11 |
This Amendment No. 1 amends and restates in its entirety the Schedule 13G previously filed by the Reporting Persons (together with all prior and current amendments thereto, this “Schedule 13G”).
| ITEM 1(A). | NAME OF ISSUER Blue Apron Holdings, Inc. |
| ITEM 1(B). | ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES 40 West 23rd Street |
New York, NY 10013
| ITEM 2(A). | NAME OF PERSONS FILING |
This Schedule 13G is filed by FRC IV, FRC IV PF, DGP, and UGP. The foregoing entities are collectively referred to as the “Reporting Persons.”
DGP, the general partner of each of FRC IV and FRC IV PF, may be deemed to have sole power to vote and sole power to dispose of shares of the issuer directly owned by FRC IV and FRC IV PF, except that UGP, the general partner of DGP, may be deemed to have sole power to vote and sole power to dispose of such shares.
| ITEM 2(B). | ADDRESS OF PRINCIPAL OFFICE |
The address for each of the Reporting Persons is:
First Round Capital
4040 Locust Street
Philadelphia, PA 19104
| ITEM 2(C) | CITIZENSHIP |
FRC IV, FRC IV PF and DGP are each a Delaware limited partnership. UGP is a Delaware limited liability company.
ITEM 2(D) AND (E). TITLE
OF CLASS OF SECURITIES AND CUSIP NUMBER
Class A Common Stock
CUSIP # 09523Q101
| ITEM 3. | Not Applicable. |
| ITEM 4. | OWNERSHIP Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. |
| (a) | Amount beneficially owned: |
See Row 9 of cover page for each Reporting Person.
| CUSIP NO. 09523Q101 | 13 G | Page 7 of 11 |
| (b) | Percent of Class: |
See Row 11 of cover page for each Reporting Person.*
| (c) | Number of shares as to which such person has: |
| (i) | Sole power to vote or to direct the vote: |
See Row 5 of cover page for each Reporting Person.
| (ii) | Shared power to vote or to direct the vote: |
See Row 6 of cover page for each Reporting Person.
| (iii) | Sole power to dispose or to direct the disposition of: |
See Row 7 of cover page for each Reporting Person.
| (iv) | Shared power to dispose or to direct the disposition of: |
See Row 8 of cover page for each Reporting Person.
| ITEM 5. | OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: x Yes |
| ITEM 6. | OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Under certain circumstances set forth in the limited partnership agreement of each of FRC IV, FRC IV PF and DGP and the limited liability company agreement of UGP, the general and limited partners or members, as the case may be, of each of such entities may be deemed to have the right to receive dividends from, or the proceeds from, the sale of shares of the issuer owned by each such entity of which they are a partner or member, as the case may be. |
| ITEM 7. | IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY Not applicable. |
| ITEM 8. | IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. |
| NOTICE OF DISSOLUTION OF GROUP. Not applicable. |
| ITEM 10. | CERTIFICATION. Not applicable. |
| CUSIP NO. 09523Q101 | 13 G | Page 8 of 11 |
SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 8, 2019
| First Round Capital Management IV, LLC | ||
| First Round Capital Management IV, L.P. | ||
| By First Round Capital Management IV, LLC, its general partner | ||
| First Round Capital IV, L.P. | ||
| By First Round Capital Management IV, L.P., its general partner | ||
| By First Round Capital Management IV, LLC, | ||
| its general partner | ||
| First Round Capital IV Partners Fund, L.P. | ||
| By First Round Capital Management IV, L.P., its general partner | ||
| By First Round Capital Management IV, LLC, | ||
| its general partner | ||
| By: | /s/ Jeffrey Donnon | |
| Jeffrey Donnon, Chief Financial Officer/Attorney-In-Fact for the above-listed entities* | ||
*Signed pursuant to a Power of Attorney already on file with the appropriate agencies.
The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representative’s authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.
NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for
other parties for whom copies are to be sent.
Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)
| CUSIP NO. 09523Q101 | 13 G | Page 9 of 11 |
EXHIBIT INDEX
| Found on Sequentially | ||
| Exhibit | Numbered Page | |
| Exhibit A: Agreement of Joint Filing | 10 | |
| Exhibit B: Power of Attorney | 11 |
| CUSIP NO. 09523Q101 | 13 G | Page 10 of 11 |
exhibit A
Agreement of Joint Filing
The undersigned hereby agree that a single Schedule 13G (or any amendment thereto) relating to the Class A Common Stock of Blue Apron Holdings, Inc. shall be filed on behalf of each of the undersigned and that this Agreement shall be filed as an exhibit to such Schedule 13G.
Date: February 8, 2019
| First Round Capital Management IV, LLC | ||
| First Round Capital Management IV, L.P. | ||
| By First Round Capital Management IV, LLC, its general partner | ||
| First Round Capital IV, L.P. | ||
| By First Round Capital Management IV, L.P., its general partner | ||
| By First Round Capital Management IV, LLC, | ||
| its general partner | ||
| First Round Capital IV Partners Fund, L.P. | ||
| By First Round Capital Management IV, L.P., its general partner | ||
| By First Round Capital Management IV, LLC, | ||
| its general partner | ||
| By: | /s/ Jeffrey Donnon | |
| Jeffrey Donnon, Chief Financial Officer/Attorney-In-Fact for the above-listed entities* | ||
*Signed pursuant to a Power of Attorney already on file with the appropriate agencies.
;
| CUSIP NO. 09523Q101 | 13 G | Page 11 of 11 |
exhibit B
Power of Attorney
Jeff Donnon has signed this Schedule 13G as Attorney-In-Fact. Note that copies of the applicable Power of Attorney are already on file with the appropriate agencies.